Individual provider Active NPI

Valerie Novak, NP

  • Nurse Practitioner
  • Superior, CO
National Provider Identifier
1265521173
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0001788 Issued in CO
Practice address
500 Discovery Pkwy
#100
Superior, CO 80027-8639
Phone
(303) 403-7800
Fax
(303) 403-7801
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 110102 CO
Nurse Practitioner 363L00000X APN.0001788 CO Primary

Addresses

Primary practice location

500 Discovery Pkwy
#100
Superior, CO 80027-8639

Mailing address

Dept 557
Denver, CO 80291-0557
Phone (303) 467-4155

Other identifiers 1

IdentifierTypeStateIssuer
3779076MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0001788COMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: vnovak24239@direct.intermountainhealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1265521173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 557",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802910557",
            "telephone_number": "303-467-4155",
            "fax_number": "303-467-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DISCOVERY PKWY",
            "address_2": "#100",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278639",
            "telephone_number": "303-403-7800",
            "fax_number": "303-403-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "VALERIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "110102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0001788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3779076",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

Verify at the official NPI Registry.